New York
Office of the Professions
SOE THWE THWE
Medicine (Physician, Including M Ds & D Os)
License number
247657
Date granted
02/15/2008
Date expires
10/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
WILLISTON PARK NY
nymedicine.org
ID 30284082
LAST UPDATED 2026-05-12 09:57:11 UTC
LAST UPDATED 2026-05-12 09:57:11 UTC
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